705
DO ALL BABIES BORN WITH ELECTIVE SEZERIAN SECTIO NEED PEDIATRICIAN ATTENDANCE?
F. Özlü1, H.Y. Yıldızdaş1, B. Ulu1, B. Mutlu1, H.S. Asker1, S. Büyükkurt2, H. Ünlügenç3
1Çukurova University, 2Obstetrics and Gynecology, 3Anestesiology, Çukurova University, Adana, Turkey
Although attendance of a doctor in all neonatal births is gold standard, this attendance can not be provided because of lesser number of skilled health personnel. Nevertheless, in our institution a paediatrician assistant accompanies all sezerian sections (C/S).
In this study, 313 neonates of ≥ 35 GW, accepted as healthy who were born with elective sezerian section between June 2010-February 2011 were included.
1. Min Apgar score and 5.minute Apgar score were 8.1 ± 0.8 (5-9) and 9.3 ± 0.6 (5-10) respectively. 184 (58.8%) neonates were born due to repetitive C/S, 44 (14.1%) neonates were born with C/S due to head-pelvic incompatibility and 75 (23.9%) neonates were born with C/S due to different other causes. 55.6% of mothers had spinal, 33.3 % had general and 9.8% had epidural anaesthesia .
251 (77.5%) neonates need starting procedures of NRP, 130 (40.1%) neonates need free oxygen and 23 (7.1%) neonates need positive pressure ventilation . 10 (3,2%) neonates were hospitalized in NICU due to transient Tacypnea of neonate. Due to need of starting procedures (p< 0.001), free oxygen (p=0.22) and positive pressure ventilation, the least risk group were born after spinal anaesthesia. The need for resuscitation was not different between neonates were born in 35-37 week and neonates were born ≥38 week. As a result in hospitals in which one can reach a health personnel skilled in advanced resuscitation, a staff who had NRP certificate can attend the births that had no risk antenatal and is more than 35 gestational week.
